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HIRAID: An evidence-informed emergency nursing assessment framework
Belinda Munroe1, Kate Curtis2, Margaret Murphy3
1Sydney Nursing School, University of Sydney, Australia; Emergency Department, The Wollongong Hospital, Australia.
Australasian Emergency Nursing Journal : AENJ
|April 13, 2015
Summary
A new emergency nursing assessment framework, HIRAID, was developed for emergency department (ED) nurses. This evidence-informed approach enhances systematic patient assessment after triage, improving care.
Area of Science:
- Emergency Nursing
- Clinical Assessment Frameworks
Background:
- Emergency nurses require accurate patient assessment skills.
- The initial Emergency Nursing Assessment Framework (ENAF) was created in 2008.
- ENAF was re-developed in 2014 to incorporate current evidence.
Purpose of the Study:
- To detail the re-development process of ENAF.
- To present an evidence-informed approach for ED nurses' comprehensive patient assessment post-triage.
- To facilitate clinical (simulated) testing and implementation.
Main Methods:
- Extensive literature review to guide ENAF re-development.
- Expert panel of emergency nursing clinicians utilized the Delphi Technique.
- Review of literature findings informed framework modifications.
Main Results:
- A revised, comprehensive assessment framework named HIRAID was developed.
- HIRAID integrates seven key assessment components: History, Identify Red flags, Assessment, Interventions, Diagnostics, Reassessment, and Communication.
- The framework is informed by current evidence.
Conclusions:
- HIRAID offers an evidence-informed, systematic method for initial patient assessment by ED nurses post-triage.
- Further evaluation is necessary to assess HIRAID's impact on clinician performance and patient safety.
Keywords:
CommunicationEmergency nursingEvidence-based practiceFrameworkNursing assessmentNursing processMore Related Videos
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